Individual
KRISTOFER R MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
831 NW COUNCIL DR STE 145, GRESHAM, OR 97030-3795
(503) 666-6717
(503) 666-6745
Mailing address
1815 E 19TH ST STE B, THE DALLES, OR 97058-3385
(541) 316-6575
(541) 210-8913
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01078
OR
Other
Enumeration date
04/17/2006
Last updated
02/22/2022
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